Tcu At Nazareth Hospital, The - Phila Nursing Home
General Information
UPDATEFederal Provider Number
396002
Provider Name
TCU AT NAZARETH HOSPITAL, THE
Provider Address
2601 HOLME AVENUE
PHILA, PA 19152
PHILA, PA 19152
Provider Phone Number
(215) 335-6367
Provider SSA County
620
Provider County Name
Philadelphia
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
25
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
NAZARETH HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1996-08-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15600
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.57200
Reported Licensed Staffing Hours per Resident per Day
2.57200
Reported Total Nurse Staffing Hours per Resident per Day
4.72800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.54400
Expected CNA Staffing Hours per Resident per Day
2.25670
Expected LPN Staffing Hours per Resident per Day
0.92048
Expected RN Staffing Hours per Resident per Day
1.86484
Expected Total Nurse Staffing Hours per Resident per Day
5.04203
Adjusted CNA Staffing Hours per Resident per Day
2.34421
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.03054
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77985
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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